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244. System Interactions Differential Diagnosis

244. System Interactions Differential Diagnosis

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A 72-year-old individual presents to outpatient physical therapy with complaints of bilateral shoulder and hip stiffness, difficulty rising from a chair, and diffuse aching that is most severe in the morning and lasts throughout the day. Laboratory results reveal an elevated erythrocyte sedimentation rate (ESR). Which of the following is the MOST likely diagnosis?

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